提高神经系统疾病患者咳嗽能力的研究进展

王 小芸1, 徐 瑞1, 王 钰宏1, 王文 丽*2
1、云南省第一人民医院
2、昆明医科大学第二附属医院

摘要


神经系统疾病是涉及神经结构损伤或功能障碍的复杂疾病群，症状广泛且致残率较高。神经系统疾病通过破坏咳嗽反射的神经通路、减弱呼吸肌肌力及降低中枢对咳嗽相关肌肉协调性的控制，导致咳嗽功能障碍。咳嗽功能障碍直接表现是呼吸节律紊乱、呼吸模式异常、咳嗽反射减弱及呼吸肌肌力的下降，这会导致患者痰液储留，增加感染的风险以及肺炎的发生率，进一步延长患者的住院时间、增加死亡率。本文通过回顾了咳嗽的生理病理学机制、咳嗽功能障碍的评估方法及治疗方法，并综述了神经系统疾病患者在提高咳嗽能力方面的研究进展，旨在为提高此类疾病患者咳嗽能力提供新思路和治疗方案。

关键词


神经系统疾病；咳嗽能力；咳嗽功能障碍；治疗方法

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参考


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